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K00.5

Billable

Hereditary disturbances in tooth structure, not elsewhere classified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Inherited genetic conditions that affect the structure and development of teeth, passed down through families.

Coding Tips

  • Document the specific hereditary condition when identified (e.g., amelogenesis imperfecta, dentinogenesis imperfecta)
  • Note family history when available to support the hereditary nature

Code Hierarchy

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